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Saturday, March 30, 2019

Article Review of Health Disparities Research

Article Review of come upness Disparities Research hold ONE (1) REVIEWPurposeThis melodic theme is a personal innate review of the article Perspective Challenges to Using a Business part for Addressing Health Disparities,1 further referenced herein as the publications.DefinitionHealth dissimilarity is defined as the difference in wellness among incompatible populations2DiscussionIn our textbook, McKenzie and Pinger describe differential gaps between individuals as the apparent movement for health disparities. To expand on this, they write3recognized that some individuals lead perennial and healthier lives than others, and that often these differences are closely associated with amic fit characteristics much(prenominal) as race, ethnicity, gender, location, and sociostinting status. These gaps between groups mother been referred to as health disparitiesHealth difference ProblemWhereas our textbook briefly discusses health unlikeness, it doesnt delve into causes, nor h ow languish it has existed. However, the how long answer can be engraft in a paper by Cindy Lawler in which she writes that the problem was recognized As early as 1899, W.E.B Dubois (1899) observed the existence of Racial and ethnic Health Disparities (REHDs), and through his social study of Blacks in Philadelphia he interpreted statistical data just about their health and drew several conclusions that are similar to today. She also touched(p) upon Dubois working with flawed health data collection in Philadelphia that sacrificed the verity of statistical analysis.480 plus studies, conducted between 1984 and 20045, have repeatedly declared similar, if not the same issues and viewpoint all point to the health disparity issues in the United States, but not enough data to find a fix for the causation(s).So, if this is an age-old problem, why are we heretofore veneer this systemic problem after a full century of recommendations have been made? I believe the authors attempted to address this by composition the belles-lettres but, it is my belief, they fell short as the literature only touches the terminus of the ice berg.ChallengesAs written, the literature appears to be solely focused on the galore(postnominal) challenges to using a business case for health portion out organizations. The common challenges that were identified includedlag-time in ROI, anddisconnect between investor and the agnize beneficiary.In discussing ways to tackle the problem, the literature laid out a litany of challenges faced by health care entities through use of a broad view of both business and social cases. Throughout, it outlined what businesses and health care entities must do to achieve a better ROI, mend trying to attain equity, with the ultimate goal of achieving a reduction in health care disparity.The literature also points out that a gravid many health organizations remain reluctant to help combat the disparity problem. Their reasoning is based on concern for th eir bottom linethey are changeable about whether they may see a positive ROI return, or not. And, this is not without merit, especially since thither is typically a lag between installation and seeing the ROI.To emphasis this point the authors state it doesnt take much to bulge out the process.a combination of business and feeling improvement principles may still be able to guide health care organizations seeking to dress disparities.As a starting juncture, they suggest use of Pareto charts and application of the 80-20 rule. In doing so, plunk forholders could initiate a process to re-focus their frets, thus allowing them the ability to turn their energies toward redirecting endanger capital items, such as funds, manpower, and equipment more effectively.To prove their point, the authors referred to an 80/20 rule study which identified a disparity within an unnamed health care setting specifically, care afforded to African Americans. The study found that approximately 80 par t of African Americans were cared for by 20 percent of physicians, in an under-resourced setting, thus subjecting the group to a lessor form of quality care.6The literature goes on to identify another avenue to further increase effort effectiveness, and reap further rewards in doing so, and that is though collaboration with other concerned parties within the community. By doing so, they hopefully will part the process of lessen the disparities, one small step at a time.Who is at bump?Health disparities commonly affect minority, low-income, and rural-based populations. One reason for this, in part, is due(p) to location. Regardless of the setting, in town, low income housing projects, or rural environment, many may have little to no access to a quality care facility, or any type care facility, or supplier at all. This forces these groups to travel greater distances, and in tight economic times, such as we are in today, these groups many not be able to afford the travel costs. Th is creates a socio-economic Access to Care disparity, as well as an inequity issue.Of course, many races and ethnicities are affected by these factors, and the literature explains that the authors believe this is rooted in racial segregation.ConclusionIndividual health is the culmination of many factors. However, the most important factors are the social, economic, and environmental conditions in which we are born, live, work, study, and play.Engaging the social elements of health is a critical circumstances of any comprehensive health equality strategy. Successful engagement could finally lead to reduced healthcare costs, and improvement in everyones overall health outlook. From a business standpoint, health care entities, stakeholders, and investors need to identify and pass the correct business model, ensure proper policies and procedures in place, and have demoralise in from everyone (community, workers, senior C levels, and ultimately clients) before they can begin to reali ze a faster, positive ROI.Furthermore, health care entities and business stake holders, in cooperation with community leaders and governmental agencies (regardless of level), need to realize there is a critical need to identify and improve community health environments and health policies. This can only be achieved though cooperative efforts by all and, by supporting programs and policies that address the myriad of social and economic determinants of health. In doing so, only then can we ensure the root causes of health disparities, and the associated inequities, are adequately, and effectively addressed and eliminated.1 Lurie, N., Somers, S. A., Fremont, A., et al., 20082 McKenzie, James F., Pinger, Robert R. 2015. pg. 25, sidebar3 McKenzie, James F., Pinger, Robert R. 2015, pg. 25, para 54 Lawler, C. (2011), Introduction, pg. 155 Lawler, C. (2011), Introduction, pg. 15, para. 3.6 Lurie, N., Somers, S. A., Fremont, A., et al., 2008, para 12.

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